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Now that Spain’s new co-payment system for medications and prescription charges has come into effect we are beginning to see what the process looks like. There has been a lot of anxiety among residents of all nationalities about what the implications might be. This has not been helped by the trickle of information and regional differences in application.

The Spanish health service is under pressure. One of the ways in which it is hoping to increase revenue is through prescription charges. But announcements about the increase in the cost of prescriptions have caused both consternation and confusion.